Active NPI
Insights Optical, Inc.
- Optometrist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- INSIGHTS OPTICAL, INC.
- Practice address
- 415 S Clarizz Blvd
Bloomington, IN 47401-5517 - Phone
- (812) 333-1911
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane Elaine Short, O.D.
- Title
- Owner
- Phone
- (812) 333-1911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
415 S Clarizz Blvd
Bloomington, IN 47401-5517
Mailing address
415 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone (812) 333-1911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200892090 | Medicaid | IN | |
| DO6083 | Other | IN | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
415 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 333-1911
5011 W Charlestowne Way
Ste A
Bloomington, IN 47404
5011 W Charlestowne Way
Bloomington, IN 47404
Phone (812) 333-1911
725 W Main St
Ste 1
Mitchell, IN 47446
725 W Main St
Mitchell, IN 47446
Phone (812) 849-4555
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Bloomington, IN
- NPI 1306877956
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- Optometrist
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- NPI 1083720999
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- Optometrist
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- NPI 1932241072
-
- Optometrist
- Mitchell, IN
- NPI 1255266482
-
- Optometrist
- Bloomington, IN
- NPI 1730387283
-
- Optometrist
- Bloomington, IN
- NPI 1689822660
-
- Optometrist
- Bloomington, IN
- NPI 1629994736
-
- Optometrist
- Mitchell, IN
- NPI 1891846242
-
- Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522627200000",
"number": "1730204785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S CLARIZZ BLVD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015517",
"telephone_number": "812-333-1911",
"fax_number": "812-333-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S CLARIZZ BLVD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015517",
"telephone_number": "812-333-1911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHTS OPTICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2018-04-02",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-333-1911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200892090",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DO6083",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.